The elderly do not have coronary heart disease, should they take aspirin to prevent myocardial infarction? Different choices in different situations

As a century-old drug, aspirin has a basic position in the field of cardiovascular disease prevention, and there is still no other drug that can replace it. But as to how to use aspirin and who should use it, many friends still have such misunderstandings. For example, some friends think that whether or not they have cardiovascular disease, they should start taking aspirin at a certain age. Today we will talk about whether elderly people without cardiovascular disease need to take aspirin.

The elderly do not have coronary heart disease, should they take aspirin to prevent myocardial infarction? Different choices in different situations
Introduction to the main functions of aspirin
More than 100 years ago, when aspirin was first launched on the market, its main application was not in the cardiovascular field. After all, aspirin is an anti-inflammatory drug with antipyretic and analgesic effects. In many years of clinical application, it has been gradually discovered In addition to antipyretic and analgesic, aspirin also has the effect of inhibiting the synthesis of thromboxane A2 and resisting platelet aggregation. This “anti-platelet” effect, if it is a symptomatic friend taking aspirin, bleeding problems will cause bleeding more difficult to coagulate. It is called a negative effect, but for friends with coronary atherosclerotic plaque, when the plaque ruptures, the risk of thrombus formation after platelet aggregation will be greatly increased, and the antiplatelet effect of aspirin will reduce this thrombus Risk, so as to achieve the benefit of preventing thrombotic events such as myocardial infarction and cerebral infarction.

The elderly do not have coronary heart disease, should they take aspirin to prevent myocardial infarction? Different choices in different situations
Therefore, whether a drug’s pharmacological effect is negative or whether it can be used to prevent and reduce disease risk depends on its correct application. When used correctly, it can help us reduce cardiovascular and cerebrovascular risks. If used incorrectly, it will increase the risk of bleeding, making people regret it.

Do people take aspirin to prevent blood clots when they reach a certain age?
This statement is a misunderstanding.

As we mentioned earlier, the main role of aspirin is to prevent the risk of thrombosis, but if we think rationally, we will know that not all elderly people are necessarily at risk of thrombosis, and for the same elderly, different individuals have thrombosis. In addition to preventing thrombosis, aspirin may also cause bleeding, asthma, high uric acid and other adverse reactions in the process of medication. If the risk of thrombosis is not assessed, it will not be assessed. Medication safety risks, when you are over 50 or over 60, you start to take aspirin to prevent blood clots, so the risk of “eating the wrong medicine” will be great.

老年人没有冠心病,要吃阿司匹林预防心梗吗?不同情况选择各不同

The elderly do not have coronary heart disease, should they take aspirin to prevent myocardial infarction? Different choices in different situations
Whether to take aspirin or not depends on how old you are. It is far from enough. In addition to age, we should also consider whether there is a specific cardiovascular disease problem. For friends with coronary heart disease problems, the risk of blood clots is particularly high. Even friends who have had an acute myocardial infarction usually should consider taking aspirin for a long time if there is no contraindication to medication; but for friends without cardiovascular disease, it should be combined with age, blood pressure, blood lipids, blood sugar, and familial heart disease. The occurrence of vascular disease, whether obesity, smoking, etc., are used to comprehensively assess the risk of cardiovascular disease. If the risk of cardiovascular disease is low to medium risk after going through, there is no need to take aspirin at all; if it is assessed as high risk of cardiovascular disease Risky, whether to take aspirin or not, but also to analyze the specific circumstances.

The elderly do not have coronary heart disease, should they take aspirin to prevent myocardial infarction? Different choices in different situations
There is no coronary heart disease, but the risk of cardiovascular disease is at high risk. Do you take aspirin?
For those who don’t have cardiovascular disease, but assess the risk of cardiovascular disease as a high-risk risk, it is still impossible to generalize whether or not to take aspirin. As for whether or not to take aspirin, I have summarized the following three points for everyone:

For friends in this type of situation, whether to choose aspirin or not, you should first see if you can reduce the risk of cardiovascular disease to medium or low risk through life conditioning. For example, friends who have a smoking habit, quit smoking, obesity is under control, and weight and waist circumference are restored. Normally, in the process of life conditioning, the blood pressure is slightly increased, and the blood sugar level has also been significantly improved. In this case, the risk of cardiovascular disease has been reduced, and the assessment criteria for high-risk risks have not been met. Of course, there is no need Take aspirin.

The elderly do not have coronary heart disease, should they take aspirin to prevent myocardial infarction? Different choices in different situations
If through life conditioning, cardiovascular disease is still a high-risk friend, whether to take aspirin, you should also evaluate the specific bleeding risk. After all, aspirin is a preventive drug. If there is no cardiovascular disease, if it is evaluated as high-risk bleeding For risky situations, such as active peptic ulcers, or other diseases that are prone to bleeding, you don’t need to take aspirin, so as not to cause a greater risk of bleeding, and the gain is not worth the loss. In addition, if high blood pressure cannot be controlled, the systolic blood pressure is reduced to below 140mmhg My friend, taking aspirin will also increase the risk of bleeding. It is not advisable to take aspirin until the blood pressure is controlled.

In addition to the risk of bleeding, for friends who do not have coronary heart disease but are at high cardiovascular risk, they should also evaluate the safety of other aspects of medication. For example, friends with high uric acid gout problems are generally not recommended to take aspirin, and for example, those with asthma problems. Friends of you should also use aspirin with caution.

Therefore, for those who do not have coronary heart disease but are at high risk of cardiovascular risk, if they meet the following conditions at the same time, they should consider using aspirin to prevent thrombosis:

Cardiovascular disease risk cannot be eliminated or reduced through strict self-discipline of life regulation;
Assess bleeding risk as low risk;
No high uric acid gout problem;
The blood pressure is well controlled, and the systolic blood pressure is at least below 140;
There are no related contraindications for taking aspirin.
The elderly do not have coronary heart disease, should they take aspirin to prevent myocardial infarction? Different choices in different situations
Whether it’s aspirin or other drugs, no drug is a drug that people must take when they are older. Whether or not to take aspirin is ultimately a risk and benefit assessment process. If we take the drug, the benefits are far Far greater than the risk, of course, it should be taken for a long time to prevent the risk of thrombosis; but if the benefit of taking the medicine is not clear, it may bring a great risk of medication. In this case, of course, you should not take medicine. This principle , Not only suitable for aspirin, but also for other medication choices in our daily lives.

If you do not have coronary heart disease, the risk of cardiovascular disease is at high risk. After evaluation, you can also take aspirin. You should also pay attention to choosing low-dose aspirin enteric-coated tablets to reduce the irritation of the drug to the gastric mucosa. Pay attention to the risk of bleeding during long-term medication to ensure the safety of medication.

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